PAUL HAYES IV PA-C
NPI 1295392272
Physician Assistant in Fort Wayne, IN

Active since May 24, 2019PECOS EnrolledAccepts Medicare Assignment
81.23/100
CMS Quality Rating
8911 LIBERTY MILLS RD, FORT WAYNE, IN 46804(260) 373-9465(260) 266-9406 Get Directions Write a Review

NPPES record last updated: March 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 2, 2023, Mar 6, 2020, May 24, 2019 (3 updates tracked since 2019).

About Paul Hayes Iv Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL HAYES IV PA-C (NPI 1295392272) is an individual physician assistant in Fort Wayne, Indiana, licensed in Indiana (10002706A) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and maintains a secondary practice location in Fort Wayne.

NPPES Registry Identity

NPI1295392272
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NamePAUL HAYES IVCredential: PA-C
Location Address8911 LIBERTY MILLS RDFort Wayne, IN 46804-6311
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Fax(260) 266-9406
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 24, 2019
Last NPPES UpdateMarch 2, 20233 updates tracked since enumeration
NPPES CertifiedMarch 2, 2023
NPI 1295392272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in IN · 10002706A
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
8911 LIBERTY MILLS RD, Fort Wayne, IN 46804

Secondary Practice Location 1

Location 17333 W Jefferson BlvdFort Wayne, IN 46804-6280 · Phone (260) 458-3830

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Paul Hayes Iv Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103150313
PECOS Enrollment IDI20190621001432
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
42 services38 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.95
Promoting Interoperability100
Improvement Activities40
Cost68.49

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
8911 LIBERTY MILLS RD
FORT WAYNE, IN 46804
Family Medicine
8911 LIBERTY MILLS RD
FORT WAYNE, IN 46804
Family Medicine
8911 LIBERTY MILLS RD
FORT WAYNE, IN 46804
Nurse Practitioner
8911 LIBERTY MILLS RD
FORT WAYNE, IN 46804
Nurse Practitioner
8911 LIBERTY MILLS RD
FORT WAYNE, IN 46804
Family Medicine
8911 LIBERTY MILLS RD
FORT WAYNE, IN 46804
Family Medicine
8911 LIBERTY MILLS RD
FORT WAYNE, IN 46804
Family Medicine
8911 LIBERTY MILLS RD
FORT WAYNE, IN 46804

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Hayes's NPI number?

The NPI number for Paul Hayes is 1295392272. It was assigned to this individual provider in the NPPES registry on May 24, 2019.

Where is Paul Hayes located?

Paul Hayes practices at 8911 Liberty Mills Rd, Fort Wayne, IN 46804. The listed phone number is (260) 373-9465.

What is Paul Hayes's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Paul Hayes enrolled in Medicare?

Yes. Paul Hayes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Paul Hayes accept?

Health plans from CareSource list Paul Hayes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Paul Hayes affiliated with any hospitals?

According to CMS data, Paul Hayes is affiliated with Parkview Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Hayes was last updated on March 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.